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[1]曹寅生,萬云峰,易強,等.肩關節(jié)腔內(nèi)藥物聯(lián)合注射治療原發(fā)性凍結肩[J].中醫(yī)正骨,2019,31(07):40-43.
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肩關節(jié)腔內(nèi)藥物聯(lián)合注射治療原發(fā)性凍結肩()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年07期
頁碼:
40-43
欄目:
臨床報道
出版日期:
2019-07-20

文章信息/Info

作者:
曹寅生萬云峰易強文猛魏騰飛
(湖南中醫(yī)藥大學第一附屬醫(yī)院,湖南 長沙 410007)
關鍵詞:
肩凝癥 注射關節(jié)內(nèi) 倍他米松 玻璃酸鈉
摘要:
目的:探討肩關節(jié)腔內(nèi)藥物聯(lián)合注射治療原發(fā)性凍結肩的臨床療效及安全性。方法:2017年9月至2018年12月,采用肩關節(jié)腔內(nèi)藥物聯(lián)合注射治療原發(fā)性凍結肩患者35例。男16例,女19例; 年齡46~68歲,中位數(shù)54歲; 左側(cè)13例,右側(cè)22例; 病程3~11個月,中位數(shù)7個月。以喙突與肩峰前外側(cè)角連線的中點為進針點穿刺進入肩關節(jié)腔后,先后注入復方倍他米松注射液和利多卡因注射液的混合藥液及玻璃酸鈉注射液,1周1次,共注射4次(后3次均單純注射玻璃酸鈉注射液)。并在治療期間進行肩關節(jié)功能鍛煉。記錄不良反應發(fā)生情況,隨訪觀察肩關節(jié)疼痛緩解和功能改善情況。結果:本組35例患者,1例因注射后出現(xiàn)頭暈、惡心等暈針反應而退出,共34例患者完成治療和治療結束后8周的隨訪。肩關節(jié)疼痛視覺模擬量表評分,治療前(7.26±0.44)分、治療4周后(3.24±0.43)分、治療結束后4周(1.82±0.38)分、治療結束后8周(1.56±0.50)分; 肩關節(jié)Constant-Murley評分,治療前(28.94±2.64)分、治療4周后(51.71±3.29)分、治療結束后4周(58.21±3.62)分、治療結束后8周(62.76±2.82)分。肩關節(jié)被動前屈活動度,治療前100.02°±4.58°治療4周后123.09°±4.08°、治療結束后4周129.41°±4.14°、治療結束后8周134.21°±5.12°; 肩關節(jié)被動外展活動度,治療前79.24°±3.56°、治療4周后101.12°±4.21°、治療結束后4周115.01°±4.54°、治療結束后8周120.00°±4.54°; 肩關節(jié)被動內(nèi)旋活動度,治療前42.74°±1.72°、治療4周后50.76°±1.93°、治療結束后4周60.18°±2.15°、治療結束后8周64.94°±2.28°; 肩關節(jié)被動外旋活動度,治療前24.09°±2.08°、治療4周后44.01°±1.74°、治療結束后4周50.06°±2.82°、治療結束后8周51.15°±2.65°。結論:肩關節(jié)腔內(nèi)藥物聯(lián)合注射治療原發(fā)性凍結肩,可有效緩解患肩疼痛、改善肩關節(jié)功能,且不良反應少。

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通訊作者:曹寅生 E-mail:[email protected](收稿日期:2019-03-17 本文編輯:楊雅)
更新日期/Last Update: 2019-07-20